Is There a Magic in Long Nocturnal Dialysis?

2005 ◽  
pp. 100-106 ◽  
Author(s):  
Bernard Charra
Keyword(s):  
Nocturnal Dialysis

Benefits and risks of frequent or longer haemodialysis: weighing the evidence

2020 ◽  
Author(s):  
Pantelis Sarafidis ◽  
Danai Faitatzidou ◽  
Aikaterini Papagianni
Keyword(s):  
Observational Studies ◽  
Randomized Trials ◽  
Dialysis Duration ◽  
Cardiovascular Morbidity And Mortality ◽  
Increased Risk ◽  
Intermediate Outcomes ◽  
Secondary Analyses ◽  
Nocturnal Dialysis ◽  
Stage Renal Disease ◽  
End Stage

Abstract Although the ability of individuals with end-stage renal disease to maintain body homoeostasis is equally impaired during all weekdays, conventional haemodialysis (HD) treatment is scheduled thrice weekly, containing two short and one long interdialytic interval. This intermittent nature of HD and the consequent fluctuations in volume, metabolic parameters and electrolytes have long been hypothesized to predispose to complications. Large observational studies link the first weekday with an increased risk of cardiovascular morbidity and mortality. Several schemes of frequent and/or longer, home or in-centre HD have been introduced, aiming to alleviate the above risks by both increasing total dialysis duration and reducing the duration of interdialytic intervals. Observational studies in this field have non-uniform results, showing that enhanced frequency in home (but not in-centre) HD is associated with reduced mortality. Evidence from the randomized Daily and Nocturnal Trials of the Frequent HD Network suggest the opposite, showing mortality benefits with in-centre daily but not with home nocturnal dialysis. Secondary analyses of these trials indicate that daily and nocturnal schedules do not have equal effects on intermediate outcomes. Alternative schemes, such as thrice weekly in-centre nocturnal HD or every-other-day HD, seem to also offer improvements in several intermediate endpoints, but need further testing with randomized trials. This review summarizes the effects of frequent and/or longer HD methods on hard and intermediate outcomes, attempting to provide a balanced overview of the field.

scholarly journals Daily dialysis, nocturnal dialysis, and randomized controlled trials: Are we asking the right questions?

2005 ◽  
Vol 68 (6) ◽  
pp. 2913-2914 ◽  
Author(s):  
Giorgina Barbara Piccoli ◽  
Andrea Magnano ◽  
Leandra Perrotta ◽  
Giuseppe Piccoli
Keyword(s):  
Randomized Controlled Trials ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Daily Dialysis ◽  
Nocturnal Dialysis ◽  
The Right

Long Nocturnal Dialysis

2002 ◽  
Vol 20 (6) ◽  
pp. 525-530 ◽  
Author(s):  
S. Alloatti ◽  
A. Molino ◽  
M. Manes ◽  
G. Bonfant ◽  
V. Pellu
Keyword(s):  
Nocturnal Dialysis

239: Hypertension Management Improved for In-Center Nocturnal Dialysis Patients Compared to Conventional Dialysis Patients

2010 ◽  
Vol 55 (4) ◽  
pp. B91
Author(s):  
Robert Provenzano ◽  
Shane Simon ◽  
Ronald Levine ◽  
Karen Spach ◽  
Allen Nissenson
Keyword(s):  
Hypertension Management ◽  
Dialysis Patients ◽  
Nocturnal Dialysis

Micro-Channel Haemo Dialyser

2008 ◽  
Author(s):  
Goran N. Jovanovic ◽  
Eric K. Anderson ◽  
Alana R. Warner-Tuhy
Keyword(s):  
Flow Rate ◽  
Hollow Fiber ◽  
Mass Transfer Rate ◽  
Healthcare Providers ◽  
Blood Flow Rate ◽  
Expected Improvement ◽  
Renal Diseases ◽  
Health Lifestyle ◽  
Fiber Technology ◽  
Nocturnal Dialysis

The hollow fiber based haemo dialyzer made and extremely important impact in haemo dialysis practice in the last three decades. Many people with renal diseases were able to improve their life expectancy and maintain a somewhat improved health-lifestyle. With the prospect of doubling the number of renal patients in Europe and North America by 2020, and expected improvement of health care in developing nations current dialysis treatment models and practices need new approaches and above all new technical solutions. It appears that the hollow fiber technology has met technical limitations in further development of dialysis practices. The most obvious limitations are: i) high flow rate of dialysate with respect to blood flow rate and associated cost of dialysate, ii) inability to scale down the size of the hollow fiber dialyzer for pediatric use, or everyday nocturnal dialysis in adults without dramatic reduction of dialyzer efficiency, and iii) inability to increase the overall mass transfer rate and thus reduce the cost of both dialyzer and dialysate used. Microchannel haemo dialyzers with flat membranes, developed at Oregon State University, holds many promises that are pertinent to the needs of renal patients and healthcare providers.

Hemodiafiltration in a pediatric nocturnal dialysis program

2014 ◽  
Vol 29 (8) ◽  
pp. 1411-1416 ◽  
Author(s):  
Julia Thumfart ◽  
Christina v. Puttkamer ◽  
Steffen Wagner ◽  
Uwe Querfeld ◽  
Dominik Müller
Keyword(s):  
Nocturnal Dialysis

Is peritoneal dialysis still an equal option? Results of the Berlin pediatric nocturnal dialysis program

2015 ◽  
Vol 30 (7) ◽  
pp. 1181-1187 ◽  
Author(s):  
Julia Thumfart ◽  
Tanja Hilliger ◽  
Christina Stiny ◽  
Steffen Wagner ◽  
Uwe Querfeld ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Nocturnal Dialysis

Nocturnal Dialysis - The 1st Australian Experience

2003 ◽  
Vol 7 (1) ◽  
pp. 73-104 ◽  
Author(s):  
JWM Agar ◽  
CA Somerville ◽  
RE Simmonds ◽  
JM Boddington
Keyword(s):  
Australian Experience ◽  
Nocturnal Dialysis
Sign in / Sign up

Export Citation Format

Share Document